Individual
BARRY LYNN MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
719 W COKE RD STE 4, WINNSBORO, TX 75494-3060
(903) 342-5227
Mailing address
PO BOX 844665, DALLAS, TX 75284-4665
(903) 342-5227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2771569-005
TRICARE
TX
01
—
865N63
BCBS
TX
01
—
P01304445
RAIL ROAD
TX
Enumeration date
05/22/2007
Last updated
10/13/2014
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